The use of the Anthony diet in hepatitis B-induced diffuse hepatic nodules complicated with diabetes mellitus: a case report

A document by Allen Chehimi. Click on the document to view its contents.

A document by Satya Rijal. Click on the document to view its contents.

IntroductionThromboangiitis obliterans (TAO), or Buerger’s disease, is a rare, non-atherosclerotic, inflammatory occlusive disease involving small- and medium-sized vessels of the extremities. It predominantly affects young men under 45 years with a history of tobacco use. The prevalence is highest in regions with high smoking rates, such as South and East Asia, the Middle East, and increasingly in Africa. The disease is characterized by segmental vascular inflammation and thrombosis, leading to critical limb ischemia, ulcers, and gangrene. The pathogenesis is not fully understood but is thought to involve tobacco-induced endothelial injury and autoimmune mechanisms. Diagnosis is clinical, supported by angiographic findings of segmental occlusions with corkscrew collaterals, and requires exclusion of atherosclerosis and autoimmune vasculitis. Timely diagnosis is essential, as delayed recognition often results in amputation. This case illustrates the importance of early suspicion and intervention in endemic settings and includes a review of diagnostic and therapeutic challenges reported in the literature [1–5].

Application of Intravascular Ultrasound in Pulmonary Hypertension Caused by Fibrosing MediastinitisZiyu Ye11* Correspondence: njdrwx@163.com Department of Critical Care Medicine, Nanjing First Hospital, Nanjing Medical University, No. 68 Changle Road, 210006, Nanjing, Jiangsu, China., Lin Gao22Department of Respiratory and Critical Care Medicine, Nanjing First Hospital, Nanjing Medical University, No. 68 Changle Road, 210006, Nanjing, Jiangsu, China., Xiang Wanga, *

Title: Purulent Peritonitis Masked by Disease-Modifying Therapy: A Case Report

A document by Sachin Bhatta. Click on the document to view its contents.

Introduction : With the recent Food and Drug Administration approval in February 2024 of the EVOQUE transcatheter tricuspid valve replacement (TTVR) system, and with at least 15% occurrence of conductional disorder requiring pacemaker implant, there will be an increasing need to implant leadless devices across TTVR valves. We report a case

Clinical Key Message:Preoperative esophagogastroduodenoscopy (EGD) is crucial before Laparoscopic Roux-en-Y Gastric Bypass (LRYGB) to evaluate the esophagus, stomach, and duodenum. Any lesions should be addressed, and alternative procedures may be considered if follow-up is needed. Postoperative tachycardia, fever, tachypnea, and oliguria suggest complications like anastomotic leaks, requiring urgent surgical exploration. Timely intervention is essential for prognosis.

AbstractWe report a rare case of a 22-year-old man with untreated schizophrenia who performed staged bilateral self-castration at home after learning the technique online. Using sutures and a soldering iron, he removed both testes over two weeks without major complications. He presented afebrile and hemodynamically stable, seeking confirmation of complete orchiectomy. Ultrasound revealed only residual spermatic cord stumps without signs of infection or hematoma. Motivated by perceived high testosterone levels, he was admitted for psychiatric care. This case underscores the critical importance of early psychiatric intervention and the need for clinician awareness regarding atypical self-mutilation behaviors in psychiatric patients, highlighting the potential for severe self-harm in untreated schizophrenia.

IntroductionThe last ILAE definition of SE includes the time-dimensions t2, considered as the time after which there is a risk of long-term consequences (1); however, t2 time derives only by experimental evidence and there are no clear demonstrations of the same effect of SE on human brain (2).We describe the case of a man who developed a watershed ischemic stroke secondarily to a NCSE.

Corresponding author: Dr. Arman BaimbetovAuthor Contributions: Conceptualization, Investigation, Resources, Visualization, Writing - original draft, Writing - review & editingE-mail: oralsurgery.kz@gmail.comCo-author: Dr. Adil BaimbetovAuthor Contributions: Writing - review & editingE-mail: kazpace@gmail.com

A Case of Coiling of the Central Venous Catheter in the Right Internal Jugular VeinAshru Neupane1, Sarina Gurung2, Suman Acharya31 Department of Anesthesiology and Critical Care, Lumbini Provincial Hospital, Butwal, Nepal2 Dirghayu Hospital, Kathmandu, Nepal3 Department of Internal Medicine, Lumbini Provincial Hospital, Butwal, Nepal

A familial 16p11.2 microdeletion associated with intellectual disability, scoliosis, and hypospadiasKai-Qi Tan#1,3,4, Sheng-Tao Ling#2,3,4, Zhi-Yi Huang1,3,4, Yan Li1,3,4, Lei Zhao1,3,4, Yun He5, Ping-An Xiong1,3,4, Pan-Pan Meng3,4, Xiao-Hong Zhou6, Chong Guo7*, Zhi-Jun Zhang1,3,4*, Chun-Lei Deng*1,3,4Department of reproductive medicine, Taihe Hospital Affiliated to Hubei University of Medicine, Shiyan, 442000, Hubei, China2 Department of Urinary, Taihe Hospital Affiliated to Hubei University of Medicine, Shiyan, 442000, Hubei, China3 Hubei Key Laboratory of Embryonic Stem Cell Research, Affiliated to Hubei University of Medicine, Shiyan, 442000, Hubei, China4 Hubei Province Clinical Research Center for Umbilical Cord Blood Hematopoietic Stem Cells, Shiyan, 442000, Hubei, China5 Department of ultrasonic medicine, Taihe Hospital Affiliated to Hubei University of Medicine, Shiyan, 442000, Hubei, China6 Department of obstetrics and gynecology, Maternal and Child Health Hospital, Yunyang district, Shiyan, 442000, Hubei, China7 Department of obstetrics, Taihe Hospital Affiliated to Hubei University of Medicine, Shiyan, 442000, Hubei, China*Correspondence to Professor Chun-Lei Deng, Department of reproductive medicine, Taihe Hospital Affiliated to Hubei University of Medicine, 32 South Renmin Road, Shiyan, Hubei 442000, P.R. China. Email: dengchunlei2009@163.com*Correspondence to Professor Zhi-Jun Zhang, Department of reproductive medicine, Taihe Hospital Affiliated to Hubei University of Medicine, 32 South Renmin Road, Shiyan, Hubei 442000, P.R. China. Email: zhangzhijun@taihehospital.com*Correspondence to Professor Chong Guo, Department of obstetrics, Taihe Hospital Affiliated to Hubei University of Medicine, 32 South Renmin Road, Shiyan, Hubei 442000, P.R. China. Email: guochongghn@163.com.

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A document by Mahsa Hajisafarali. Click on the document to view its contents.

A document by Prabhat Kaphle. Click on the document to view its contents.

A document by Gholamreza Hajvalie. Click on the document to view its contents.